使用Amplatzer血管封堵器经导管闭合左心室心尖部假性动脉瘤
Transcatheter Closure of Left Ventricular Apical Pseudoaneurysm with an Amplatzer Vascular Plug.
作者信息
Negri Francesco, Cernetti Carlo, Favero Luca, Minniti Giuseppe, De Leo Alessandro, De Simone Giovanna, Sinagra Gianfranco
机构信息
Cardiovascular Department, Cardiomyopathy Center, Azienda Sanitaria Universitaria Integrata di Trieste, Trieste, Italy; Postgraduate School in Cardiovascular Diseases, University of Trieste, Italy.
Cardiology Department, Ca' Foncello Hospital Azienda N 2 Marca Trevigiana, Treviso, Italy; Head of Cardio-Neuro-Vascular Department Ca' Foncello and San Giacomo Hospital Azienda N 2, Marca Trevigiana, Treviso, Italy.
出版信息
Cardiovasc Revasc Med. 2019 Nov;20(11):1033-1035. doi: 10.1016/j.carrev.2019.01.002. Epub 2019 Jan 6.
We report the case of a 66-year-old man, with a history of previous chest radiation therapy admitted to ED for heart failure. The patient was diagnosed with severe aortic stenosis and multivessel coronary disease and underwent surgical aortic valve replacement and coronary artery by pass grafts. Cardiac surgery was complicated by a left ventricular perforation by a venting catheter. The laceration was repaired with a Teflon patch apparently successful. Four months later, a CT scan performed for oncological follow-up demonstrated the complete detachment of the Teflon patch and the formation of a left ventricular pseudoaneurysm. The pseudoaneurysm was effectively treated percutaneously using an Amplatzer Vascular Plug 4.
我们报告了一例66岁男性病例，该患者既往有胸部放疗史，因心力衰竭入住急诊科。患者被诊断为严重主动脉瓣狭窄和多支冠状动脉疾病，并接受了主动脉瓣置换术和冠状动脉搭桥术。心脏手术因一根排气导管导致左心室穿孔而出现并发症。用聚四氟乙烯补片修复撕裂伤，显然很成功。四个月后，为进行肿瘤学随访而进行的CT扫描显示聚四氟乙烯补片完全脱落，并形成了左心室假性动脉瘤。使用Amplatzer血管封堵器4对假性动脉瘤进行了有效的经皮治疗。
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